Key result
The SARS-CoV-2 RdRp inhibition efficiency of remdesivir and cordycepin is influenced by endogenous nucleotide levels, with GTP identified as the rate-limiting nucleotide for viral replication.
Nucleotide sensitivity and competition against endogenous nucleotides are crucial for designing effective SARS-CoV-2 antiviral compounds.
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May influence remdesivir efficacy via nucleotide competition; leaves open GTP modulation as a strategy for future antiviral optimization.
The current COVID-19 pandemic has highlighted the necessity of more efficient antiviral compounds. The antiviral efficacy of adenosine-based analogs, the main repurposed drugs for SARS-CoV-2 RNA-dependent RNA polymerase (RdRp) inhibition, is mainly assessed through in vitro or cell-free polymerization assays, under arbitrary conditions that do not reflect the physiological environment. We show that SARS-CoV-2 RdRp inhibition efficiency of remdesivir and cordycepin, two common adenosine analogs, is influenced by endogenous adenosine level, and that the current clinically approved concentrations for COVID-19 treatment are suboptimal for effective RdRp inhibition. Furthermore, we identified GTP as the rate-limiting nucleotide of SARS-CoV-2 replication. Our results demonstrate that nucleotide sensitivity of the RdRp complex and competition of nucleoside analog drugs against endogenous concentrations of nucleotides are crucial elements to be considered when designing new SARS-CoV-2 antiviral compounds.
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Hasan Vatandaslar (2022) studied SARS-CoV-2. GS-443902 and cordycepin-TP vs. Control reaction without inhibitor was evaluated on IC50 for RdRp inhibition. The SARS-CoV-2 RdRp inhibition efficiency of remdesivir and cordycepin is influenced by endogenous nucleotide levels, with GTP identified as the rate-limiting nucleotide for viral replication.
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